Medical Journal of the Islamic Republic Of Iran http://mjiri.iums.ac.ir
Medical Journal of The Islamic Republic of Iran (MJIRI) - Journal articles for year 1987, Volume 1, Number 1Yektaweb Collection - http://www.yektaweb.comen1987/11/10BLOODY DISCHARGE IN THE CONSERVATIVE MANAGEMENT OF PREMATURE RUPTURE OF MEMBRANES AS AN INDICATOR OF AMNIOTIC BAND SYNDROMEhttp://mjiri.iums.ac.ir/browse.php?a_id=1306&sid=1&slc_lang=en
In this case report, it is our purpose to relate our findings concerning
bloody discharge as an ominous sign in the conservative management of
premature rupture of membranes, (PROM) as well as to present relevant
findings of the amniotic band syndrome such as amputation of one leg,
constriction rings in two fingers, and pseudosyndactyly in the toes of the
remaining foot in a 28 week old newborn. The bloody discharge was caused
by the gradual amputation of these organs
MT MEMARZADEHURACHAL DIVERTICULUM WITH ALTERNATING SINUShttp://mjiri.iums.ac.ir/browse.php?a_id=1304&sid=1&slc_lang=en
Urachal anomalies are exceptionally rare. They can present in different
ways in childhood as well as in adults. We present an interesting case of
vesico-urachal diverticulum with alternating sinus. The interesting finding in
this patient was the inversion and disappearance of the umbilicus at the
termination of voiding
NASSER SIMFOROOSHCONGENITAL PARTIAL PERICARDIAL DEFECT WITH HERNIATION OF THE LEFT ATRIAL APPENDAGEhttp://mjiri.iums.ac.ir/browse.php?a_id=1303&sid=1&slc_lang=en
Congenital defects of the pericardium are considered rare. Until 1979 , the
reported cases were only about 200.1 Total absence of the left pericardium is
the most common defect2 and less common is a partial defect of the left
pericardium. Other types, i.e. isolated right-sided defects, total pericardial
absence and diaphragmatic pericardial defects are very rare.3
Before the last decade, the diagnosis of partial defects of the left
pericardium was very difficult and sometimes made only during surgical
intervention or post-mortem examination. More recently however, the use
of angiocardiography and induced left pneumothorax have made diagnosis
of this kind of pericardial defect relatively easy. In the present case, the only
finding was the prominence of the left hilum on radiography and the correct
diagnosis was made through angiocardiography and left pneumothorax.
M RADPOURHYPERPARATHYROIDISM AND PREGNANCY A REVIEW OF TWO CASEShttp://mjiri.iums.ac.ir/browse.php?a_id=1302&sid=1&slc_lang=en
R RAJABIANCUTANEOUS FASCIOLIASIShttp://mjiri.iums.ac.ir/browse.php?a_id=1301&sid=1&slc_lang=en
A patient who had a migratory cutaneous nodule and tumor removed
for the second time was diagnosed as having the liver fluke, Fasciola hepatica.
In this article, we present a case report of this peculiar manifestation of
fascioliasis, as well as a general overview of the disease.
Y DOWLATIRHEUMATOID ARTHRITIS IN EAST IRAN CLINICAL AND SEROLOGICAL OBSERVATION OF76 CASEShttp://mjiri.iums.ac.ir/browse.php?a_id=1300&sid=1&slc_lang=en
Rheumatoid arthritis is not a rare condition in east Iran. We have
compiled a study of 76 patients with classic and definite RA in the
Rheumatology Department of Ghaem Medical School in east Iran. All
patients were admitted for clinical and serological evaluation.
In terms of sex ratio, pattern of joint involvement, severity and
nodularity, RA in east Iran did not resemble that which has been reported
from the U.S. or European countries.
Articular deformities and disability are rare and there was a striking
absence of systemic non-articular complications of rheumatoid arthritis.
Only a few patients showed rheumatoid lung disease. The severity of the
radiological findings were mild in comparison to the results of Thould and
Simon's report. 13
R FARIDIS LUMBAR PUNCTURE JUSTIFIABLE IN THE FIRST FEBRILE SEIZURE?http://mjiri.iums.ac.ir/browse.php?a_id=1299&sid=1&slc_lang=en
To ascertain whether LP was justifiable in cases of first simple febrile
seizure, the records of128 such patients were critically reviewed in this study.
It was evident that in 90% of those who received cerebrospinal fluid
examination as a routine work up, lumbar puncture could have been avoided
if the definition of simple febrile seizure was adhered to and the history and
clinical findings were given due consideration.
MOHAMMAD GHOFRANISURGICAL EXPERIENCE WITH PORTAL HYPERTENSION DUE TO HEPATOPORTAL SCLEROSIS (NONCIRRHOTIC PORTAL FIBROSIS)http://mjiri.iums.ac.ir/browse.php?a_id=1298&sid=1&slc_lang=en
Hepatoportal sclerosis or idiopathic portal hypertension has a worldwide
distribution with prevalence in developing and temperate countries.
Of 64 patients with this disease seen during a twelve year period, 36
underwent splenectomy or a shunt procedure. The indications for surgical
intervention were severe hypersplenism and persistent left upper abdominal
pain andlorhistory of frequent episodes of esophageal bleeding. There were
two operative deaths from uncontrollable bleeding. Of 34 patients, none
developed esophageal bleeding or encephalopathy on follow-ups ranging
from one to 12 years. Splenectomy in patients without bleeding was effective.
Proximal splenorenal shunt was also satisfactory in all cases. However, in the
last few cases, Warren's shunt has produced even more encouraging results.
In addition to a general overview, features of this disease not previously
discussed or emphasized in the literature, operative findings and surgical
methods used, along with long-term results, are presented.
SIRUS VAKILIRESISTANCE OF PLASMODIUM FALCIPARUM TO CHLOROQUINE IN SOUTH EASTERN IRANhttp://mjiri.iums.ac.ir/browse.php?a_id=1297&sid=1&slc_lang=en
In vivo and in vitro assessments of the response of P. falciparum to
chloroquine using WHO standard kits and techniques were carried out in
I ran Shahr, Sistan and Baluchestan province of Iran in 1985.
In the in vivo assessment, 24 malaria patients treated with chloroquine
(25mg/kg over three days) were followed up for one to four weeks. The mean
parasite clearance time was 4.3 days and in two cases, recrudescence
occurred on the 20th and 22nd day.
In the micro in vitro test, from among 87 samples, the growth of the
parasites was satisfactory in 11 cases (12.6%) and the development of the
parasites continued in the presence of higher doses of chloroquine (1.14 to
6.4 micromol/l blood).
In the macro in vitro test, from 28 successful tests, the growth of the
parasites continued in the presence of higher doses of chloroquine (1.25 to 3
micromol/l blood) in eight cases (28.5%).
The present study showed resistance of P. falciparum to chloroquine in
Iran Shahr area, southeastern Iran, and confirmed the results of the
preliminary studies carried out in this area in 1983.
GH EDRISSIANMICROSURGICAL TREATMENT OF LONG BONE DEFECTS USING FREE VASCULARIZED FIBULAR TRANSFERhttp://mjiri.iums.ac.ir/browse.php?a_id=1296&sid=1&slc_lang=en
Management of long bone defects occurring in accidents or war injuries
is a difficult problem, From 1978 to 1986, 11 patients were treated for long
bone defects of the humerus ( 10 cases) and radius (one case), using free
vascularized fibular transfer by microsurgical technique .The patients were
followed for 4 months and in all of them, selective angiography and scanning
revealed exellent graft :::union:::. We consider free vascularized fibular bone
transfer a suitable alternative in management of long bone defects especially
those complicated by other reconstructive methods.
MOHAMMAD ASHAYERISERUM GLUCOSE, BILIRUBIN, CALCIUM, PHOSPHORUS, PROTEIN AND ALBUMIN CONCENTRATIONS DURING RAMADANhttp://mjiri.iums.ac.ir/browse.php?a_id=1295&sid=1&slc_lang=en
Serum levels of glucose, bilirubin, calcium, phosphorus, protein and
albumin were measured in a group of nine healthy men before, and on the
first, 10th, 20th and 29th day of Ramadan, and four weeks after Islamic
fasting was terminated. There was a significant reduction in body weight,
a significant increase in serum bilirubin and a slight decrease in calcium
during Ramadan. Serum glucose decreased on the first and 10th days of
Ramadan, but increased thereafter and reached pre-Ramadan values on
the 29th day. The lowest serum glucose recorded was 63 mg/dl. All
changes returned to basal values four weeks after Ramadan. There was no
significant change in the levels of serum phosphorus, protein or albumin.
Physicians caring for Muslims during this month should be aware of these
changes.
F AZIZI OBSERVATION AND CLINICAL MANIFESTATIONS OF PATIENTS INJURED WITH MUSTARD GAShttp://mjiri.iums.ac.ir/browse.php?a_id=1294&sid=1&slc_lang=en
More than five hundred chemically injured patients were admitted to
the Labbafi-Nejad Medical Center in Spring of 1984. These patients were of
two groups. The majority of patients had extensive skin burns, eye injuries as
well as respiratory problems, and a second group of patients suffered mainly
from neuromuscular and psychological problems.
In this report, clinical manifestation and observations of the first group,
as well as a summary of the therapeutic modalities adopted are presented.
We conclude that chemical weapons have a devastaring effect both in short
and long term on humans and a more influential stance should be taken by
responsible organizations to stop their use.
H SOHRABPOURA STUDY OF SALMONELLA, SHIGELLA AND ENTEROPATHOGENIC ESCHERICHIA COLI SEROTYPES IN ACUTE GASTROENTERITIS CHILDREN UNDER THE AGE OF FIVE http://mjiri.iums.ac.ir/browse.php?a_id=1293&sid=1&slc_lang=en
In this study, it has been our purpose to isolate and serotype enteropathogenic
E. coli, salmonella and shigella and determine their resistance to
antibiotics. 502 swab specimens were collected during mid-July to midNovember.
1986. from two children's hospitals in Tenran. From 502 cultured
specimens. 108 specimens were positive for salmonella. shigella and enteropathogenic
E. coli. corresponding to 21.5% of the cases. The frequency of
t he isolated species were salmone lao 56 cases (11.1%): enteropathogenic E.
coli. -1-7 cases (9.4%). and shigella,.5 cases (1%).
ALI AKBAR VELAYATINON-HODGKIN'S LYMPHOMA IN IRANhttp://mjiri.iums.ac.ir/browse.php?a_id=1292&sid=1&slc_lang=en
Two hundred and ninety cases of non-Hodgkin's lymphoma from the
Fars Province Cancer Registry and Mashad University Hospital were
reviewed and classified according to the new International Working Formulation
for clinical use. The cases fall into low-grade (35 male, 26 female),
intermediate-grade (61 male, 26 female), and high-grade (84 male, 26
female) groups. Each group includes several morphologic subtypes which
are discussed in detail. In general, lymphomas occurred more frequently in
two age groups: 5-20 and 45-65 years. High-grade lymphomas were more
common than either low or intermediate-grade types. Interestingly, a high
incidence of Burkitt's lymphoma (non-African type) was observed (58 of 290
cases), which occurred most commonly in children under 14 years of age,
with the abdomen as a preferred site. Follicular small cell cleaved lymphomas
(nodular PDL) were rare in our cases, in contrast to that which is
reported in other series. Several cases of lymphomas not included in the
Working Formulation such as intermediate lymphocytic lymphoma and its
follicular variant (Mantle Zone type) were also observed (15 male, 7 female).
SEYYED ZIAEDDIN TABEILATE ARTERIAL REPAIR FOR LOWER LIMB OR KNEE SALVAGEhttp://mjiri.iums.ac.ir/browse.php?a_id=1291&sid=1&slc_lang=en
The objective of this report is to prove that even after development of
ischemic necrosis of the muscles and nerves, we can still save the extremity
or the knee and even several days after arterial injury, perform arterial
repair and other mentioned procedures. Thus we can retain a functionally
satisfactory leg or knee joint, which is far better than classic above-knee
amputation and utilization of an artificial leg.
28 cases have been chosen in this series, and arterial repair was
performed 24 to 72 hours after arterial injury. The arterial injuries were at
or above knee level, all the muscles of the leg were found to be necrotic at
the time of arrival, and the leg was senseless below the knee or mid-shin.
23 cases underwent leg salvage, and in five who had fractured tibia or
necrosis of the skin of the sole or around the ankle, mid-shaft amputation
with knee salvage was performed, rather than above-knee amputation.
Only three unsuccessful results were encountered, which the authors feel
were due to improper case selection, and one mortality was reported, due
to pulmonary embolism.
The comparative results were far better than above-knee amputation,
both in below-knee amputation and leg salvage, and the patients did not
consider themelves disabled either physically or mentally. With proper
care, the patients were able to lead completely normal lives with no job
opportunity limitations. The authors conclude that even several days after
arterial injury and despite ischemic necrosis of muscles and nerves, lower
limb or knee salvage is still possible, and classic "a-k"amputation is not
the only alternative.
MOHAMMADREZA KALANTAR MOTAMEDIRENAL TRANSPLANTATION A BETTER QUALITY OF LIFE FOR UREMIC PATIENTS, REVIEW OF RESULTS IN 69 KIDNEY TRANSPLANTIONS http://mjiri.iums.ac.ir/browse.php?a_id=1290&sid=1&slc_lang=en
Between June, 1984 and January 20, 1987, 69 kidney transplantations
were performed in our department. All kidneys were acquired from living
donors. 63% of the cases were high-risk MLC-positive (poorly matched),
and all but one were from related sources. There were only five rejected
kidneys, all of which occurred in kidneys from parent donors. 28
recipients received donor-specific transfusions. Immunosuppression was
with azathioprine and prednisone in 40 patients, and in 29 recipients,
cyc1osporine and prednisone were the immunosuppressive agents. In four
patients, ureteral fistulas occurred but in all of these cases, the grafts were
saved by surgical intervention and no mortality resulted. Overall patient
survival in 69 transplantations after two and a half years was 95.6%
(Average follow up 9.7 months) Renal transplantion is considered a safe
procedure that can improve the quality of life for patients with end-stage
renal disease on hemodialysis.
NASSER SIMFOROOSH